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Indications and Results of Hepatic Resection

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Lebertumoren und portale Hypertension
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Abstract

Surgical treatment of malignant hepatic lesions represents the only chance of long-term tumor-free survival. This treatment consists mainly in resection of anatomically and nonanatomically defined portions of the liver. Major hepatic tumors can be resected quite safely nowadays. This has led to less restrictive indications for both malignant and benign disease of the liver. The improvement in results among surgically treated patients with mass lesions of the liver is based on the anatomical definition (Couinaud 1957; Bismuth et al. 1982), standardized techniques (Bismuth et al. 1982; Iwatsuki et al. 1989), and technical progress (CUSA, intraoperative ultrasound). Another surgical treatment — liver transplantation — became a competitive option for these lesions.

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References

  • Bismuth H (1982) Surgical anatomy and anatomical surgery of the liver. World J Surg 6:3–9

    Article  PubMed  CAS  Google Scholar 

  • Bismuth H, Castaing D (1990) Leberanatomie und ihre intraoperative Anwendung. Chirurg 61:679–684

    PubMed  CAS  Google Scholar 

  • Bismuth H, Houssin D, Castaing D (1982) Major and minor segmentectomies “regleés” in liver surgery. World J Surg 6:10–24

    Article  PubMed  CAS  Google Scholar 

  • Broelsch CE (1990) Erweiterte Leberresektionen. Chirurg 61:692–700

    Google Scholar 

  • Couinaud C (1957) Le foie. Études anatomiques et chirurgicales. Masson, Paris

    Google Scholar 

  • Gennari L, Doci R, Bignami P, Bozzetti F (1986) Surgical treatment of hepatic metastases from colorectal cancer. Ann Surg 203:49–54

    Article  PubMed  CAS  Google Scholar 

  • Hughes KS et al. (1988) Resection of the liver for colorectal carcinoma metastases: a multi-institutional study of indications for resection. Surgery 103:278–288

    Google Scholar 

  • Iwatsuki S, Sheahan DG, Starzl TE (1989) The changing face of hepatic resection. Curr Probl Surg 26:281–379

    Article  PubMed  CAS  Google Scholar 

  • Iwatsuki S, Todo S, Starzl TE (1990) Excisional therapy for benign hepatic lesions. Surg Gynecol Obstet 171:240–246

    PubMed  CAS  Google Scholar 

  • Nagasue N, Yukaya H, Chang YC, Yamanoi A, Kohno H, Hayashi T, Nakamura T (1990) Assessment of pattern and treatment of intrahepatic recurrence after resection of hepatocellular carcinoma. Surg Gynecol Obstet 171:217–222

    PubMed  CAS  Google Scholar 

  • Neuhaus P, Blumhardt G (1990) Atypische und Segmentresektionen der Leber. Chirurg 61:685–691

    PubMed  CAS  Google Scholar 

  • Okuda K, Peters RL, Simson IW (1984) Gross anatomic features of hepatocellular carcinoma from three disparate geographic areas. Cancer 54:2165–2173

    Article  PubMed  CAS  Google Scholar 

  • Otto G, Heuschen U, Hofmann W, Schlag P, Herfarth C (1990) Zur Prognose und Therapie primärer epithelialer Lebertumoren. Chirurg 61:705–710

    PubMed  CAS  Google Scholar 

  • Ringe B, Bechstein WO, Raab R, Meyer HJ, Pichlmayr R (1990) Leberresektion bei 157 Patienten mit colorectalen Metastasen. Chirurg 61:272–279

    PubMed  CAS  Google Scholar 

  • Scheele J (1990) Die gefäßorientierte Segmentresektion der Leber. Langenbecks Arch Chir 375:308–317

    Article  PubMed  CAS  Google Scholar 

  • Shortell CK, Schwartz SI (1991) Hepatic adenoma and focal nodular hyperplasia. Surg Gynecol Obstet 173:426–431

    PubMed  CAS  Google Scholar 

  • Starzl TE, Demetris A J (1990) Liver transplantation. A 31-year perspective. Year Book Medical Publishers, Chicago

    Google Scholar 

  • Stone MD, Cady B, Jenkins RL, McDermott WV, Steele GD (1990) Surgical therapy for recurrent liver metastases from colorectal cancer. Arch Surg 125:718–722

    Article  PubMed  CAS  Google Scholar 

  • Takayasu K, Muramatsu Y, Moriyama H, Hasegawa H, Makuuchi M, Okazaki N, Hirohashi S, Tsugane S (1989) Clinical and radiologic assessment of the results of hepatectomy for small hepatocellular carcinoma and therapeutic arterial embolisation for postoperative recurrence. Cancer 64:1848–1852

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Kalff, J., Walgenbach, KJ., Theilig, B., Kania, U. (1993). Indications and Results of Hepatic Resection. In: Reiser, M., Steudel, A., Hirner, A., Kania, U. (eds) Lebertumoren und portale Hypertension. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77834-6_22

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  • DOI: https://doi.org/10.1007/978-3-642-77834-6_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77835-3

  • Online ISBN: 978-3-642-77834-6

  • eBook Packages: Springer Book Archive

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